Urinary Tract Infections
Conditions
Keywords
urinary bladder, urinary catheterization, epidural analgesia, catheters, indwelling
Brief summary
Is the early removal of Foley catheter safe in patients undergoing general thoracic surgery with an epidural catheter in place?
Detailed description
We hypothesis that removing the foley catheter within 48 hours after a thoracotomy in patients that have an epidural catheter will result in an increase in the rate of urinary infections and the need for reinsertion of the foley. We have designed a randomized trial to test this hypothesis.
Interventions
None listed
Sponsors
Mayo Clinic
Study design
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* epidural catheter after thoracic surgery * foley in place
Exclusion criteria
* \< 18 years of age * death in hospital within 30 days of the operation * length of hospital stay is less than 48 hours * epidural catheter is removed before the 3rd postoperative day * patients who have a suprapubic catheter or no bladder * patients who require a urologist or a urologic technician to insert the Foley catheter at the time of surgery * patients who were being intermittently catheterized before surgery * patients with a known urinary tract infection preoperatively * patients required to keep Foley in since they required close monitoring of urinary output
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need for insertion of catheter after Foley removed. | participants will be followed for the duration of hospital stay, an expected average of 5 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Development of urinary tract infection | participants will be followed for the duration of hospital stay, an expected average of 5 weeks |
Countries
United States
Outcome results
None listed